Provider Demographics
NPI:1184071391
Name:BOLAR, ELEANOR ARLENE (PHD, LISW-S, LICDC)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:ARLENE
Last Name:BOLAR
Suffix:
Gender:F
Credentials:PHD, LISW-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11851 ELKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY STE 216
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2853
Practice Address - Country:US
Practice Address - Phone:513-418-8820
Practice Address - Fax:513-496-2420
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical